GENERAL OBSTETRICAL CARE

Degree course: 
Corso di First cycle degree in Midwifery
Academic year when starting the degree: 
2022/2023
Year: 
1
Academic year in which the course will be held: 
2022/2023
Course type: 
Compulsory subjects, characteristic of the class
Credits: 
2
Period: 
Second semester
Standard lectures hours: 
30
Detail of lecture’s hours: 
Lesson (30 hours)
Requirements: 

Preparatory constraints for passing the exam in obstetrics and gynecology are not expected.

Oral examination

Assessment: 
Voto Finale

At the end of the course the student should know:
• Objectives and methods of obstetric assistance in the various phases of the birth process.
• Phases and methods of execution of the obstetric objective examination
• Criteria for defining obstetric risk
• Signs of presumption, probability and certainty of pregnancy
• How to fill out the partogram
• How to perform the pap test
At the end of the course the student should be able to:
• Perform obstetric physical examination
• Fill in the partogram correctly
• Perform the pap-test and vaginal swabs

Pregnancy diagnosis and signs of presumption, probability and certainty of pregnancy.
Classification of risk in pregnancy
Obstetric semeiotics: stages of the physical examination in pregnant woman and in gynecological patient, instrumental exams, methods for assessing fetal well-being and application of scores.
Pelvic exam
Pap-Test, HPV Dna Test, swabs an prevention of STD.
Term pregnancy and term pregnancy checks
Stages of labor and delivery
Partogram
Obstetric triage
Practical exercise

Pregnancy diagnosis (2 HOURS)
− Duration of pregnancy
− Trimesters of pregnancy
− Signs of presumption, probability and certainty of pregnancy
Risk classification in pregnancy (2 HOURS)
Midwifery semiotics (8 HOURS)
− Review of anatomy
− Anamnesis
− Inspection
− Palpation (Leopold maneuvers)
− Auscultation (BCF and CTG)
− Vaginal exploration (Bishop score, birth canal, fetal landmarks)
− Instrumental examinations
Pelvic examination (2 HOURS)
− Gynecological visit
− Speculum examination and pap test
Term pregnancy (2 HOURS)
Obstetric triage (2 HOURS)
The diagnosis of labor and the stages of labor (2 HOURS)
The partogram (2 HOURS)
Practical exercise (8 HOURS)

The learning objectives will be achieved through theoretical lessons in the classroom, trying to stimulate students’s interactivity through active teaching methodologies. There will be practical exercises and simulations in the clinical setting at the partner hospital in order to apply the theoretical notions acquired in the field.

The material will be partly provided by the teacher (slides and documents) and partly present in the textbooks recommended by the teacher herself

Professors

BREGONZIO GIULIA